Or even a couple of days, I’ve never seen adverse consequences with that short a use, it’s usually starting when you’re getting into three to five days or longer of of use of those medications that it becomes a problem. I can also say though these other therapies will usually prevent the need for any medications, whether it’s antibiotics, Tylenol or ibuprofen. So just in a nutshell, here’s when I absolutely ask my patients to bring their little one in to see me for an evaluation if there’s the likelihood that they have an ear infection if the baby is under six months old, if there’s pain that won’t resolve, either with the natural therapies, or if we do end up resorting to Tylenol or ibuprofen for one or two doses to see what happens if there is a fever of over 102.2 or over 39 degrees Celsius and persistent ear pain
If there’s drainage from the ear, or if there’s neck pain or stiffness, so those are the five key symptoms that will get me to have a patient bring their little one in it doesn’t mean we’re going to use antibiotics. It just means I want to get up and you know, a personal assessment.
So when are antibiotics needed? The latest guidelines from the Academy of Medicine and followed by the centres are recommended by the centres for disease control have come around to recommending what natural practitioners have known for a long time. That prevention and a wait and watch attitude are the best approaches for most kids with ear infections most of the time. Here’s what antibiotics are recommended for babies under six months old, or babies who are six to 23 months old with an infection in both ears, so not just one ear and in00
Any child who has severe infection defined as very rapid onset of the symptoms, moderate or severe your pain, ear pain lasting longer than 48 hours, and actual signs of an ear infection on exam and temperature of over 102.2 degrees Fahrenheit, which is 39 degrees Celsius. Both the American Academy of paediatrics and the CDC agree that there should be a wait and watch period of 48 to 72 hours for all mild air infections and babies over six months old before using an antibiotic. When there is ear pain. It really should be using alternative remedies or if you need to ibuprofen or Tylenol, to reduce the pain, not antibiotics.
The good news is that
Most ear infections are self limiting. That means they go away on their own with time, patience and supportive therapies. Amazingly, about 80% of kids with acute otitis media get better without antibiotics in two to seven days. Not only that they have no increased risk of hearing problems, other infections even in the other ear or need for more invasive medical interventions. Also, they don’t have any of the adverse outcomes of kids who received antibiotics, including the development of antibiotic resistant pneumonia, which is an adverse effect of getting antibiotics for ear infections. Those who did go on to get antibiotics did just as well as kids who did get them at the beginning of the infection. So again, a watch and wait attitude with some comfort measures is almost always all that’s needed. If your child doesn’t recover in 48 hours or so.
Or worsens, an antibiotic can still be prescribed with no worse outcome than if your child had gotten beginning.